| NPI | 1457654113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS11691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM A-1907-15) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM A-1907-15) | |
| 208M00000X Hospitalist (Licence: FL OS11691) | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2023-08-28 |